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Effects of Age on Recovery of Olfactory Function After Endoscopic Sinus Surgery and Related Risk Factors.
- Source :
-
ENT: Ear, Nose & Throat Journal . Aug2023, Vol. 102 Issue 8, p530-537. 8p. - Publication Year :
- 2023
-
Abstract
- Objectives: To study the effects of age on the olfactory function recovery of chronic rhinosinusitis patients after endoscopic sinus surgery and related risk factors. Methods: A total of 176 chronic rhinosinusitis (CRS) patients enrolled from February 2017 to October 2019 were divided into child, youth, middle-aged, and elderly groups. Their baseline data, T&T olfactory test score, visual analogue scale (VAS) olfactory score, sinus computed tomography (CT) Lund-Mackay score, and Lund-Kennedy score were compared. Based on postoperative olfactory function, they were divided into good and poor improvement groups. Results: Complication with nasal polyps, allergic rhinitis history, and sinus surgery history had significant differences among patients of different ages (P <.05). Three months after surgery, T&T olfactory, VAS olfactory, Lund-Mackay, and Lund-Kennedy scores all rose with increasing age, with significant differences between any 2 groups (P <.05). The improvement of postoperative olfactory function became poorer with aging (P <.05). T&T and VAS olfactory scores had significant positive correlations with Lund-Mackay and Lund-Kennedy scores (P <.001). Age, preoperative Lund-Mackay and Lund-Kennedy scores, complication with nasal polyps, allergic rhinitis history, sinus surgery history, and postoperative complications were risk factors for the poor improvement of postoperative olfactory function. Doctor-directed treatment was a protective factor for good improvement. Conclusions: The improvement of olfactory function of CRS patients after endoscopic sinus surgery declines with aging. Age, preoperative Lund-Mackay and Lund-Kennedy scores, complication with nasal polyps, allergic rhinitis history, sinus surgery history, and postoperative complications are risk factors for the poor improvement of postoperative olfactory function. Doctor-directed treatment is a protective factor for good improvement. [ABSTRACT FROM AUTHOR]
- Subjects :
- *NASAL polyps
*ENDOSCOPIC surgery
*AGE distribution
*CONVALESCENCE
*CHRONIC diseases
*RHINITIS
*ALLERGIC rhinitis
*SURGICAL complications
*RISK assessment
*FRONTAL sinus
*COMPARATIVE studies
*SEASONAL variations of diseases
*SMELL disorders
*AGING
*POSTOPERATIVE period
*DESCRIPTIVE statistics
*COMPUTED tomography
*ENDOSCOPY
*DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 01455613
- Volume :
- 102
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- ENT: Ear, Nose & Throat Journal
- Publication Type :
- Academic Journal
- Accession number :
- 171103800
- Full Text :
- https://doi.org/10.1177/01455613211012927